Active NPI
Paul F. Tegtmeyer, PH.D.
- Cognitive & Behavioral Psychologist
- Norwich, NY
National Provider Identifier
1720167208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cognitive & Behavioral Psychologist
- License
- 008067-0
- Practice address
- 5 Court St
Suite 42, County Office Building
Norwich, NY 13815-1695 - Phone
- (607) 337-1602
- Fax
- (607) 334-4519
- NPI assigned
- Nov 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | 008067-0 | NY | Primary |
Addresses
Primary practice location
5 Court St
Suite 42, County Office Building
Norwich, NY 13815-1695
Mailing address
2301 Damon Rd
New Woodstock, NY 13122-9722
Phone (315) 662-3918
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008067-0 | NY | MD | Cognitive & Behavioral Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of New York Comptrollers Office | Past | Accepting new patients | |
| Chenango County | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Home Health Agency
- Norwich, NY
- NPI 1114915378
-
- Skilled Nursing Facility
- Oxford, NY
- NPI 1386851004
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1720167208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2301 DAMON RD",
"city": "NEW WOODSTOCK",
"state": "NY",
"postal_code": "131229722",
"telephone_number": "315-662-3918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 COURT ST",
"address_2": "SUITE 42, COUNTY OFFICE BUILDING",
"city": "NORWICH",
"state": "NY",
"postal_code": "138151695",
"telephone_number": "607-337-1602",
"fax_number": "607-334-4519"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEGTMEYER",
"first_name": "PAUL",
"middle_name": "F.",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "NY",
"license": "008067-0",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norwich, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.